Converge Medical Technology · 5 hours ago
Collections Specialist
Converge Medical Technology is dedicated to providing innovative technology and personalized patient services for chronic pain treatment. They are seeking a Medical Collections Specialist to manage the claims and collections process, ensuring veterans and injured workers receive timely access to necessary care.
Health CareManufacturingMedicalMedical Device
Responsibilities
Follow established billing and collection protocols for accurate reimbursements. Review and manage accounts to ensure timely and accurate reimbursement. Apply CPT, ICD-10, and HCPC coding knowledge effectively. Identify and resolve payor issues impacting payment delays
Ensure accurate and timely submission of all claims. Appeal denied claims and manage both front-end authorizations and back-end denials. Utilize insurance carrier websites and Salesforce for efficient follow-up. Ensure compliance with HIPAA, confidentiality, and privacy regulations. Conduct research using available resources to complete referral submissions and updates
Initiate outbound calls to insurance companies for claims resolution. Manage high-volume inbound and outbound calls, acting as a liaison between insurance companies and sales representatives. Collaborate with internal teams to streamline referral management and prior authorizations. Maintain thorough documentation of all communications and actions taken
Perform other duties as assigned
Qualification
Required
High School diploma or equivalent required
1-5 years of healthcare billing and collections/financial experience preferred
Working knowledge of HCPCS, CPT, ICD-10 coding
Experience collecting payments from insurance companies
Benefits
Medical, dental, and vision insurance
Short- & long-term disability
FSA/ HSA options
401k with matching
Company
Converge Medical Technology
Converge Medical Technology is a manufacturing company that provides medical smart devices for chronic and musculoskeletal disorders.
Funding
Current Stage
Growth StageRecent News
Company data provided by crunchbase